Individual provider · Type 1 NPI

Forrest Benjamin Clark, MD

Student in an Organized Health Care Education/Training Program · Morgantown, WV

NPI number 1205696366 Active

Practice location

1 Medical Center Dr
Morgantown, WV 26506-1200

Call (304) 293-2463 Map

Fax (304) 293-5160

Mailing address

PO Box 525
Uvalda, GA 30473-0525

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1205696366

Forrest Benjamin Clark, MD's National Provider Identifier is 1205696366, issued on Mar 19, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Morgantown, WV. The record was last updated on Mar 19, 2024.